| NPI | 1730612326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60167661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW41735) |
| 1041C0700X Social Worker, Clinical (Licence: TX 106759) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 56547853501) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2022-01-25 |